KUMMER J M
Calif Med. 1953 Jul;79(1):31-5.
Pregnancy and parturition are not considered the basic causes of associated mental disorders, but as precipitating stresses. Pregnancy and parturition are thought to involve conflicts relating to dependency needs, homosexuality and hostility toward the child and husband. The incidence of psychoses related to pregnancy and childbirth appears to be declining. Therapeutic abortion and/or sterilization are indicated when continuance of pregnancy or future pregnancies would be likely to precipitate severe mental disease. Among the important factors to be weighed in considering a recommendation for abortion or sterilization are: the pattern of previous psychotic reactions (severity, duration, reversibility, relation to pregnancy), the physical constitution of the patient, the religious and other personal beliefs of the patient and her family, the desire for parenthood, and the number of living children.A physician would do well to consult the laws of his state with regard to abortion and to call upon suitable consultation in approved hospitals as safeguards against subsequent legal complications. The legal situation regarding sterilization appears to be less complex.
怀孕和分娩并非被视为相关精神障碍的根本病因，而是作为促发应激因素。怀孕和分娩被认为涉及与依赖需求、同性恋以及对孩子和丈夫的敌意相关的冲突。与怀孕和分娩相关的精神病发病率似乎正在下降。当继续妊娠或未来妊娠可能会促发严重精神疾病时，建议进行治疗性流产和/或绝育。在考虑推荐流产或绝育时需要权衡的重要因素包括：既往精神病反应模式（严重程度、持续时间、可逆性、与妊娠的关系）、患者的身体状况、患者及其家庭的宗教信仰和其他个人信仰、生育愿望以及存活子女数量。医生最好查阅所在州关于堕胎的法律，并在经认可的医院寻求适当的咨询，以防范后续的法律纠纷。关于绝育的法律情况似乎没那么复杂。
